Mind and Body Behavioral Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20171790249 Issued in NV

Legal business name

MIND AND BODY BEHAVIORAL HEALTH SERVICES LLC

Practice address

2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100

Phone

(702) 478-7444

Fax

(702) 478-7864

NPI assigned

Jul 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edwin Ramiro Vasquez

Title

Consultant

Phone

(702) 800-5431

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1184101347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-478-7444",
            "fax_number": "702-478-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-478-7444",
            "fax_number": "702-478-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "RAMIRO",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "702-800-5431"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171790249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Minchin
• Tanya Floriene Minck
• Mind 247 Practice LLC
• Mind and Body Addiction Services
• Mind and Body Behavioral Health LLC
• Mind and Medical LLC
• Mind Body and Soul LLC
• Mind Body and Sports Connection
• Mind Body Solutions Physical Therapy, LLC
• Mind Bridget LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.